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non radiographic axial spondyloarthritis

Causes of Non-Radiographic Axial Spondyloarthritis

An inflammatory arthritis affecting the spine and sacroiliac joints, non-radiographic axial spondyloarthritis (nr-axSpA) is unknown. A significant role is played by genetic factors, particularly the presence of the HLA-B27 gene. Environmental triggers may also be involved.

Symptoms of Non-Radiographic Axial Spondyloarthritis

The following symptoms are typically present:

  • Usually worse at night or in the morning, chronic back pain lasts more than three months.

  • With movement, stiffness in the lower back and hips improves.

  • Tiredness and lack of energy are symptoms of fatigue.

  • The pain and swelling in other joints, such as the knees or ankles, are called peripheral joint pain.

  • The inflammation of the eye causes redness and pain, such as uveitis.

Diagnosis of Non-Radiographic Axial Spondyloarthritis

Diagnosis involves:

  • Evaluation of symptoms and medical history.

  • Check for signs of inflammation and reduced range of motion during a physical examination.

  • MRI for detecting inflammation in the sacroiliac joints and spine.

  • Tests for inflammation and HLA-B27 gene expression in the blood.

Treatment of Non-Radiographic Axial Spondyloarthritis

Inflammation is reduced and symptoms are managed:

  • The purpose of nonsteroidal anti-inflammatory drugs (NSAIDs) is to relieve pain and reduce inflammation.

  • For patients with more severe symptoms, biologics such as TNF inhibitors or IL-17 inhibitors are available.

  • Exercises to improve flexibility and strength are part of physical therapy.

  • Maintaining a healthy weight, exercising regularly, and not smoking are all lifestyle modifications.

  • Using heat or cold therapy and other supportive measures to manage pain.

Prevention of Non-Radiographic Axial Spondyloarthritis

Although nr-axSpA cannot be completely prevented, certain measures can help manage risk and symptoms:

  • Maintaining an active lifestyle to support joint health requires regular physical activity.

  • Diet: Anti-inflammatory foods can help manage symptoms.

  • Reducing smoking can decrease the severity of disease.

  • Medical checkups: Early detection and management of symptoms can prevent progression.

Including its causes, symptoms, diagnosis, treatment options, and prevention strategies, this overview discusses non-radiographic axial spondyloarthritis.

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